Subject: Termination of Physician's Care — Patient to Physician: Michigan Sample Letter Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you about my decision to terminate our physician-patient relationship effective immediately. After careful consideration, I have come to the conclusion that it is in my best interest to seek medical care elsewhere. I would like to thank you for the care you have provided to me thus far. I appreciate the medical expertise and attention you have shown, but due to personal reasons, I believe a change in healthcare provider is necessary at this time. Please understand that this decision is not based on any dissatisfaction with the level of care or expertise you have demonstrated, but rather focuses on my preference for a different medical approach or compatibility with another provider. As per Michigan law, I am entitled to choose the healthcare provider that best suits my needs and feel it is my responsibility to exercise this right. I trust that you understand and respect this decision in accordance with professional ethics. To ensure a smooth transition, I kindly request the following actions from you: 1. Please forward a copy of my medical records, including any test results, diagnoses, and treatment plans to the address provided below. I understand that there may be specific procedures and fees associated with obtaining these documents, and I am prepared to fulfill any necessary requirements. 2. If there are any pending appointments scheduled, kindly cancel them on my behalf. Additionally, if there are any prescriptions that require refill authorization or ongoing management, I kindly request you provide me with a reasonable supply of medication until I am able to establish care with a new physician. 3. Please confirm the termination of our physician-patient relationship in writing, either by responding to this letter or by sending a separate communication indicating the termination. This will assist me in documenting the end of our professional association. Please note that this termination of care does not affect my gratitude towards the care I have received from you in the past. I appreciate your understanding and cooperation during this transitional period. Should you require any additional information or have any questions regarding this matter, please do not hesitate to contact me at [your contact information]. I kindly request a prompt response to this letter to ensure a seamless transfer of medical records. Thank you once again for your care and assistance. Sincerely, [Your Name] [Your Address] [City, State, ZIP] [Date] --- Types of Michigan Sample Letters for Termination of Physician's Care — Patient to Physician: 1. Termination of Physician's Care — Patient to Physician: Michigan Sample Letter (General) 2. Termination of Physician's Care — Patient to Physician: Michigan Sample Letter (Request for Medical Records) 3. Termination of Physician's Care — Patient to Physician: Michigan Sample Letter (Request for Prescription Refills) 4. Termination of Physician's Care — Patient to Physician: Michigan Sample Letter (Request for Appointment Cancellation) 5. Termination of Physician's Care — Patient to Physician: Michigan Sample Letter (Confirmation of Termination)
Michigan Sample Letter for Termination of Physician's Care - Patient to Physician
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FAQ
In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
The letter can suggest that the patient refer to their managed care organization or respective insurance carrier to obtain the names of physicians who could provide care. If a patient is enrolled in a managed care organization, the managed care organization must also be notified of the termination.
How Can I End the Patient/Physician Relationship? You can end the patient/physician relationship by explicitly telling your doctor that you no longer want to be treated by him or her.
When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.
You can call your doctor, write a note, or let her know at the end of an appointment. Be honest but constructive. If your calls never make it past the receptionist, let her know that. If you need more specialized care, ask for a referral.
Proper termination requires the following points:Reasonable notice. The length of appropriate notice may depend on the patient's condition and available psychiatric resources in the community.Treatment recommendations and education.Resources for treatment.Records and information.Follow-up letter.
This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.
The physician terminates the physician-patient relationship by notifying the patient in writing of withdrawal from care after a specific time which is stated in the letter. The patient is also given information necessary to obtain their medical records or transfer to another provider.
In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
